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Unplanned tooth movement in deepbite correction with Invisalign: A retrospective study.

Mais M Sadek1, Reem Alhashmi2

  • 1Assistant Professor, Department of Orthodontics, Faculty of Dentistry, Ain Shams University, Cairo, Egypt; Assistant Professor of Orthodontics, College of Dental Medicine, University of Sharjah, Sharjah, United Arab Emirates.

Journal of the World Federation of Orthodontists
|February 24, 2024
PubMed
Summary

Unplanned tooth movements are common during Invisalign deep bite correction, especially in molars. Vertical movements require careful attention for predictable outcomes.

Keywords:
AlignersInvisalignPredictabilityUnplanned tooth movement

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Area of Science:

  • Orthodontics
  • Dental Biomaterials
  • Biotechnology

Background:

  • Deep bite malocclusion presents challenges in orthodontic treatment.
  • Predicting and controlling tooth movement is crucial for successful outcomes.

Purpose of the Study:

  • To investigate unplanned tooth movements during Invisalign treatment for deep bite correction.
  • To analyze the frequency, magnitude, and direction of these movements.
  • To compare unplanned movements between anterior and posterior teeth and between linear and angular changes.

Main Methods:

  • Analysis of digital models from 34 adult patients with deep bite treated with Invisalign.
  • Superimposition of pretreatment, predicted, and post-treatment digital models.
  • Quantification of linear and angular unplanned tooth movements.

Main Results:

  • Unplanned movements occurred in most teeth, particularly in molars.
  • Posterior teeth exhibited significantly more unplanned movements than anterior teeth.
  • Angular movements were more frequent and had a higher mean value than linear movements.

Conclusions:

  • Unplanned linear and angular tooth movements are frequent in Invisalign deep bite correction.
  • Faciolingual inclination and mesiodistal angulation are common unplanned movements.
  • Unplanned vertical movements can impact treatment predictability and require specific attention.